Individual provider Active NPI

Johanna Forman Lam, NP

  • Family Nurse Practitioner
  • Newton, MA
National Provider Identifier
1629486477
Registry record updated Oct 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2276817 Issued in MA
Practice address
2000 Washington St Ste 544
Newton, MA 02462
Phone
(617) 910-0368
Fax
(888) 806-8144
NPI assigned
Jul 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2276817 MA Primary

Addresses

Primary practice location

2000 Washington St Ste 544
Newton, MA 02462

Mailing address

2000 Washington St Ste 544
Newton, MA 02462-1624
Phone (617) 910-0368

Other practice location 1

10 Gove St
East Boston, MA 02128-1920
Phone (617) 569-5800 ext. 4872

Other names 1

  • Johanna Forman Kaplan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141111001024 MA Practitioner - Nurse Practitioner 6305068172 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New England Ear Nose and Throat LLCGroup PAC ID 7618125931, 11 clinicians

Practice addresses (Care Compare)

2000 Washington St
Mob White 544
Newton, MA 02462-1646
Phone (617) 910-0368

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2276817MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New England Ear Nose and Throat LLC CurrentSince Feb 4, 2019 Accepting new patients
Neighborhealth Corporation CurrentSince Sep 15, 2014 Accepting new patients
Internal Medical Associates-Ebnhc CurrentSince Sep 15, 2014 Accepting new patients

Locations

10 Grove St
East Boston, MA 02128
Phone (617) 569-5800

2000 Washington St
Ste 544
Newton Lower Falls, MA 02462
Phone (617) 910-0368

Interoperability endpoints

  • Direct secure messaging: lam.johanna.neent@direct.partners.masshiway.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538956800000",
    "number": "1629486477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 WASHINGTON ST STE 544",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024621624",
            "telephone_number": "617-910-0368",
            "fax_number": "888-806-8144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 WASHINGTON ST STE 544",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "02462",
            "telephone_number": "617-910-0368",
            "fax_number": "888-806-8144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Gove St",
            "address_purpose": "LOCATION",
            "city": "East Boston",
            "state": "MA",
            "postal_code": "021281920",
            "country_code": "US",
            "telephone_number": "617-569-5800 x4872",
            "fax_number": "617-568-4780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAM",
        "first_name": "JOHANNA",
        "middle_name": "FORMAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-24",
        "last_updated": "2018-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2276817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHANNA",
            "last_name": "KAPLAN",
            "middle_name": "FORMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newton, MA

Sources for this page

Verify at the official NPI Registry.